Provider Demographics
NPI:1750942389
Name:DR. NANETTE CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:DR. NANETTE CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIRORPACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:NANETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JARMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:917-965-2247
Mailing Address - Street 1:532 W 22ND ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1117
Mailing Address - Country:US
Mailing Address - Phone:917-548-7960
Mailing Address - Fax:
Practice Address - Street 1:548 W 28TH ST STE 533
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5500
Practice Address - Country:US
Practice Address - Phone:917-965-2247
Practice Address - Fax:917-965-2247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center